| NPI | 1558569780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PERELLI Administrator/Owner 972-223-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1010213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 774434) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-02-11 |